Lung ultrasound in critically ill patients comparison with bedside chest radiography

Abstract

Lung radiology is regularly done for the patients in intensive care units (ICU). Chest x-ray (CXR) consider One of the most easily imaging modalities. However, CXR may be not comfortable for critical patients as well as produce hazards of irradiation. The highly variability of quality of the CXR image make CXR interpretation difficult. To show the effect of lung ultrasound (LUS) in ICU patients and diagnose pulmonary diseases compare with chest radiography. This was a prospective study done on 60 patients has acute dyspnea transmitted to the ICU of Alzahraa University Hospital. Sonographic examination of the chest and chest radiographs done to all patients. Sixty patients included in the study with acute dyspnea, CXR and LUS was done to all the patients and then compare between two modalities for diagnosis of pulmonary diseases. Ultrasound is abed side tool useful for rapid and early diagnosis of acute dyspnea in critical ill patients. LUS represents high sensitivity and high specificity of diagnosis of chest diseases as pneumonia, pleural effusion, pneumothorax and interstitial lung diseases compared to CXR.

Validating a Simplified Lung Ultrasound Protocol for Detection and Quantification of Pulmonary Edema in Patients With Chronic Kidney Disease Receiving Maintenance Hemodialysis

“…Over the last decade the advent of lung ultrasound (LUS) has brought an efficient bed‐side method for evaluating pathology in the thoracic cavity, 7–9 and benefits of LUS is becoming increasingly apparent in the critical setting 10–12 . LUS has been shown to help in the diagnosis of pneumothorax, pleural effusion, lung consolidations, interstitial edema 9,12–15 and proved valuable for evaluation of the level of volume overload in maintenance dialysis patients 16–18 .…”

“…6 Over the last decade the advent of lung ultrasound (LUS) has brought an efficient bed-side method for evaluating pathology in the thoracic cavity, [7][8][9] and benefits of LUS is becoming increasingly apparent in the critical setting. [10][11][12] LUS has been shown to help in the diagnosis of pneumothorax, pleural effusion, lung consolidations, interstitial edema 9,[12][13][14][15] and proved valuable for evaluation of the level of volume overload in maintenance dialysis patients. [16][17][18] Apart from the high sensitivity and specificity for pulmonary pathology, LUS poses little or no harm to the patient, does not expose the patient to radiation, and allows for dynamic and timeefficient re-evaluations of therapies instituted at the bedside.…”